File:Essentials of obstetrics (1897) (14784710353).jpg

Identifier: essentialsofobst00jewe (find matches)
Title: Essentials of obstetrics
Year: 1897 (1890s)
Authors: Jewett, Charles, 1839-1910 Jewett, Harold Flagg, 1869- joint author
Subjects: Obstetrics
Publisher: New York, Philadelphia, Lea Brothers & Co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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riable within normal limits. A full bladder pushes itbodily back toward the sacrum and tilts the fundus back-ward. A distended rectum displaces it forward. The upperportion of the uterus is in relation with the small intestines.The latter sink into the upper part of the utero-sacral spaceand sometimes into the utero-vesical pouch. Posteriorlythe uterus is separated from the rectum by a fold of perito-neum, which dips down into the pelvic cavity to the dis-tance of an inch or more below the cervico-vaginal junction.This retro-uterine pouch of peritoneum will be more fullydescribed later. Anteriorly the peritoneum covers abouttwo-thirds the length of the uterus. That portion of thelower third of the uterus between the vagina and the peri-toneum is attached to the bladder by loose connectivetissue. The lower uterine extremity projects into the 26 ESSENTIALS OF OBSTETRICS. upper end of the vagina to the extent of nearly 1.3 cm. (Jinch). The axis of the uterus forms approximately a Fig. 3.
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Sagittal section of the pelvis, showing relations of generative organs. 1. Bodyof the uterus. 2. Cavity. 3. Neck. 4. Cavity of the neck. 5. Intra-vaginal partof the neck. 6. Vagina. 7. Vaginal orifice. 8. Bladder. 9. Urethra. 10. Vesico-vaginal wall. 11. Rectum. 12. Rectal cavity. 13. Anus. 14. Recto-vaginalwall. 15. Perineum. 16. Vesico-uterine cul-de-sac. 17, Utero-rectal cul-de-sac.18. Pubic symphysis. 19. Small lip. 20. Great lip ANATOMY OF FEMALE GENITAL ORGANS. 27 right-angle with that of the vagina when the former organis in its usual normal position. Laterally the uterus is inrelation with the broad ligaments, presently to be described.Shape. The uterus is a hollow muscular body. Itsshape is pyriform with its larger end uppermost. It isslightly flattened from before backward, its posterior and itsupper surfaces are convex, its anterior aspect nearly flat.Its long axis is straight or slightly curved, with its concavityforward. Fig. 4. Fig. 5.

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